Aisha Mumssy Mtimkhulu Wise, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

722909 Issued in CA

Practice address

1611 Ocala LN
Beaumont, CA 92223-3212

Phone

(909) 800-5676

Fax

(909) 800-5676

NPI assigned

Jun 22, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1831768076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 OCALA LN",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233212",
            "telephone_number": "909-800-5676",
            "fax_number": "909-800-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 OCALA LN",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233212",
            "telephone_number": "909-800-5676",
            "fax_number": "909-800-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MTIMKHULU WISE",
        "first_name": "AISHA",
        "middle_name": "MUMSSY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "722909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Moreno
• Amisi Magne Morisho, R.N.P.
• Michelle Alta Morton, FNP
• Devadas S. Moses, MD, FACP, DR.PH.
• Shoua Moua, NP
• Netsai Mugwira, RN
• Naomi Nthenya Musembi-Johnson, RN
• Tonny Mwangangi
• Millicent Mwaniki
• Margaret Ruth Mwaura

• Registered Nurse in Beaumont, CA
• Providers in Beaumont, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.